Individual
ANNE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 E 34TH ST, NEW YORK, NY 10016-4901
(212) 263-4609
Mailing address
135 OAKFIELD AVE, DIX HILLS, NY 11746-8115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344228
NY
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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